Ukuhlinzwa okuphuthumayo ngemva kokuphuka kwe-aneurysm

Zonke izimo ze-aneurysm engaphuli zidinga ukwelashwa okusebenzayo, kepha lapho i-aneurysm idabuka, kudingeka ukuhlinzwa okuphuthumayo.

Ngokuphathelene ne-aortic aneurysm, kungakhathaliseki ukuthi yisisu noma i-thoracic, idinga ukuhlinzwa okuphuthumayo lapho kukhona ukuphuka. Ngaphandle kokungenelela ngokushesha, i-aneurysm ephukile ihlale ibulala ku-aorta ye-thoracic futhi cishe ibulala njalo ku-aorta yesisu.

Isinqumo sokusebenza ku-aneurysm engaqediwe ku-aorta sincike ezintweni eziningi ezihlobene nesimo sesiguli, ubudala, nezici ze-aneurysm ngokwayo (usayizi nesivinini sokuthuthukiswa).

Ukuze usebenze ku-aortic aneurysm, kunezindlela ezimbili zokusebenza ezizokhethwa kuye ngobunzima nendawo ye-aneurysm.

Indlela yokuhlinzwa evamile.

Kudinga ukususa i-aneurysm ngemva kokubopha (usebenzisa ama-forceps) othango. Ukujikeleza kwe-aorta kuyaphazamiseka futhi ingxenye eyonakele yomthambo izothathelwa indawo i-prosthesis.

Ukuhlinzwa kwe-Endovascular

Kuyinqubo ehlasela kancane ehlanganisa ukufaka ishubhu lepulasitiki (i-catheter) emthanjeni, ngokuvamile osesifubeni, bese uphusha ucingo lweplatinamu ku-catheter ukuya endaweni ye-aneurysm. Intambo ivunguza ngaphakathi kwe-aneurysm, iphazamise ukugeleza kwegazi futhi ibangele igazi ukuba lihlule. Ukuhlinzwa kwe-endovascular ngokuvamile kukhethwa kunokuhlinzwa okuvamile, ikakhulukazi ngoba isikhathi sokusebenza nokuhlala esibhedlela kufushane.

Ukuhlinzwa kwe-Endovascular, nokho, kunezingozi, ngaphezu kwalezo ezivame ukuhlangana nazo ngesikhathi sokuhlinzwa.

Ama-Aneurysm okungenzeka mancane ukuthi aqhume awalashwa ngokuhlinzwa ngenxa yengozi engaba khona yokulimala kobuchopho okubangelwa izinkinga zokuhlinzwa ezingaba khona.

Iziguli zibe sezilulekwa ngokuthi zingaqapha kanjani futhi ziguqule, uma kungenzeka, izici ezandisa ingozi yokuqhuma kwe-aneurysm yobuchopho. Lokhu kukhathazeka ikakhulukazi ngokulawulwa kwengcindezi yegazi. Ngempela, uma umuntu elashelwa umfutho wegazi ophakeme, ukwelashwa kwawo nge-ejenti ye-antihypertensive kunganciphisa ingozi yokuqhekeka.

Lapho i-aneurysm yobuchopho ephukile ibangela ukopha kwe-subbarachnoid, isiguli sizophuthunyiswa esibhedlela futhi sihlinzwe ubuchopho ukuze kuvalwe umthambo ophukile, ngomzamo wokuvimbela ukopha okuqhubekayo.

Ukwelashwa okungahlinzeki kwe-aneurysms yobuchopho ngokuphuka

Kunemithi yokwelapha etholakalayo yokunciphisa izimpawu nokuphatha izinkinga.

• Ukudambisa izinhlungu, njenge-acetaminophen kungasetshenziswa ukwelapha ikhanda.
• Izivimbeli zeziteshi ze-calcium zivimbela i-calcium ukuthi ingangeni kumaseli ezindongeni zemithambo yegazi. Le mithi inganciphisa ukucinana kwemithambo yegazi (vasospasm) okungaba yinkinga ye-aneurysm. Enye yale mithi, i-nimodipine, ibonakala yehlisa ingozi yokulimala kobuchopho okubangelwa ukugeleza kwegazi okwanele okulandela ukopha kwe-subarachnoid.
• Imithi elwa nokuquleka ingasetshenziswa ukwelapha ukuquleka okuhambisana ne-aneurysm. Le mithi ifaka i-levetiracetam, i-phenytoin, ne-valproic acid.
• Ukwelashwa kokuvuselela. Ukulimala kobuchopho okubangelwa ukopha kwe-subarachnoid kungaholela esidingweni sokuvuselelwa kwamakhono omzimba, inkulumo, nokwelashwa komsebenzi.

Amasayithi wentshisekelo nemithombo

Amasayithi entshisakalo:

I-Cerebral aneurysm: incazelo, izimpawu, ukwelashwa (Isayensi et Avenir)

I-Cerebral aneurysm (CHUV, Lausanne)

imithombo: 

UDkt Helen Webberley. I-Aneurysm: Izimbangela, Izimpawu kanye Nokwelashwa. Izindaba Zokwelapha Namuhla, mars 2016.

I-aneurysm yobuchopho. Mayo clinic, September 2015.

Iyini i-aneurysm? I-National Heart, i-Lung, ne-Bool Insitute, ngo-Ephreli 2011.